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Individual
JODI M TWOMBLY
Active
Individual
JODI M TWOMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00822
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042844
BLUE CROSS BLUE SHIELD KS
—
05
—
100419020A
—
KS
05
—
100419020B
—
KS
05
—
100419020C
—
KS
01
—
110034001
PTAN
KS
05
—
30004516710001
—
KS
01
—
428060
FIRSTGUARD HEALTH PLAN
—
Enumeration date
09/27/2006
Last updated
09/29/2026
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